The question that incessantly tugs at me is when will these people say “enough” and say something. Can what has been done even be undone at this point. Cooke speaks of “righteous vocational fury” and that the vocation needs to “be ballsy and capable of rebellion.” We too need to stand as one and speak out against illegitimate and irrational authority. We need to proclaim “enough is enough” and identify and remove illegitimate authority. What does it take for someone to stop bemoaning the current state of medicine quietly and silently and get “ballsy” enough to vociferously protest and rebel? Stand up.